- Excellus BlueCross BlueShield (Rochester, NY)
- …drug policies and procedures. This position accurately prepares and interprets cases for UM ( utilization management ) reviews and determination. In addition, ... to ensure delivery of consistent and quality health care services examples include Utilization Management , Quality Management and Case Management .… more
- Northwell Health (New Hyde Park, NY)
- …responsible for the development, implementation, and maintenance of drug formularies, clinical utilization management ( UM ) criteria, and evidence-based drug ... findings. + Performs all duties of a licensed registered Pharmacist as required by the leadership and as identified...in formulary management , P&T committee support, and/or utilization management (PA, ST, QL) criteria development… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …of consistent and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health, Pharmacy, Registered Dietitian and ... within the group. + Responsible for all aspects of the Case Management department functions including quality, productivity, utilization performance, and… more